RE:News Assuming 100% of these patients will take this service is ridiculous. Original Medicare patients have to pay 20% of the monthly fee for each service and many will not consent. If clinician is providing more than 1 virtual care service (e.g. CCM , RPM, etc) patient has to pay $7-$10 per month for each.
Chronic Care Management: Patient Cost vs. Value
While chronic care management is revealing its overall cost-effectiveness as a service, practitioners may find it difficult to help their patients understand this fact and get patients to consent to joining a CCM program. For Medicare beneficiaries, CCM is covered under Medicare Part B and is subject to the beneficiary’s annual deductible ($233 in 2022) and the 20% coinsurance. Participation in CCM will typically cost patients between $7 to $10 each month depending on geographic region once their deductible is met for the year. Note: Many secondary insurances currently cover this cost. For example, patients who are dual enrolled in Medicare/Medicaid or patients with Medicare supplemental plans may not receive a bill for these additional services.
While any out-of-pocket expense might initially act as a deterrent to enrollment in a chronic care management program, a candid conversation can be had with patients to discuss the tangible value of CCM and help patients understand that overall, enrollment and participation is likely to save them money — potentially substantial money — during the year.
In addition, you may consider offering financial assistance programs for those need cases where patients are unable to pay but you and the patient strongly believe a patient's health depends on participation in the program.
https://blog.prevounce.com/chronic-care-management-patient-costs
As of September 2022, 65,103,807 people are enrolled in Medicare. This is an increase of 160,823 since the last report.
- 34,984,295 are enrolled in Original Medicare.
30,119,512 are enrolled in Medicare Advantage or other health plans. This includes enrollment in Medicare Advantage plans with and without prescription drug coverage.
50,574,579 are enrolled in Medicare Part D. This includes enrollment in stand-alone prescription drug plans as well as Medicare Advantage plans that offer prescription drug coverage. - Over 12 million individuals are dually eligible for Medicare and Medicaid, so are counted in the enrollment figures for both programs.
Detailed enrollment data can be viewed here.